PT-10-4197
Inspection Number: INSP - 138003 Permit Number: PT- 3- 10-419
Scheduled Inspection Date: March 29, 2010
Inspector: Bruhn, Norman
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINT NEW STUCCO WALL WHITE TO MATCH THE
EXTERIOR BODY COLOR OF THE HOUSE. SAME
COLOR WHITE
Passed Wr oxii9
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 26, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060135880
Page 16 of 27
Inspection Number: INSP - 138003 Permit Number: PT- 3- 10-419
Scheduled Inspection Date: March 29, 2010
Inspector: Bruhn, Norman
Owner: RODRIGUEZ, JUAN & SUSAN
Job Address: 301 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PAINT NEW STUCCO WALL WHITE TO MATCH THE
EXTERIOR BODY COLOR OF THE HOUSE. SAME
COLOR WHITE
March 26, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060135880
Page 16 of 27
OWNER BUILDER:
Miami Shores Village
Building Department
5 3 ORE N/3111
MAR 1 6 2010
BY:
(0050 N.E.2nd Avenue, Miami Shores, Florida 33138
7.1, (305) 795..2204 ( (305) 756.897.2 n
BUILDING Permit No. l' 1 !O -- 4)q
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT 11 ^-�
Owner's Name (Fee Simple Titleholder) t A Vt ad t uP Phone tt Min° 4( 394
14 Z.
Owner's Address D 1 NI . °p l,,, '
City M rv9 n %o re., State 1 L Zip 3.3)1
Tenant/Lessee Name Phone #
E -MAIL: - kb . l` ®cl y4 -L. ( � - avr S-4L9I . Co
Job Address (where the work is being done) 3 01 f\) C. ot 'S R/1 � ' Ores, F
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO V
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
...Tug .0 el J .01 r i `�
Value of Work For this Permit $ Type of Work: O Addition / D Alteration / ONew / O Repair/Replace
Describe Work: TA-HAT STUCb F1 I .1/\10 i"t t T k A'I -4 Te
Fx EON4 0LO > F. 1/4 E 0,1XCE— Whi k
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit
and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for
ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the
notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice
of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
*** * *** *, ****** **** * * * *** ** **** ******* F ees . *,u,u**** . ** * * *** ** ******* *** ** x,v***** * *****
Permit Fee $ CCF $ Technology Fee:
Training/Education Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side
lk
Directions: Please circle corresponding number to appropriate color sample.
Walls:
Fascia:
Roof:
Signature
Drip Cap/Drip Edge:
NOTAR7
Sign:
Print:
Stucco Bandin :
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
1 2 3 4
Soffit: 1 2 3 4
1 2 3 4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors and Door Jams: 1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
Fences: 1 2 3 4
All brick (simulated or regular): 1 2
wok IO cLvL
1 2 3
3 4
3 4
Any other Stucco Features: 1 2 3
Accessory Buildings Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
Signature
Owner or Agent Contractor
g
The foregoing re instrument was ac nowledged be a th'"� The foregoing instrument was acknowledged before me this
day of ' 5 , 201 () , by � day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
9
As ide % ation who did take an oath. as identification and who did take an oath.
G
Attach can' with name and
Dr.
1852
White
^ 4 �) NO1WTARY PUBLIC:
l i5 1 1
. 02 n : �,• 01, :
it
a' SV .'0
C. My Commission Expires:
My Commission Expires: e o h o Y P
4 3 Ol
APPLICATION APPROVED BY: Plans Examiner
Preservation Board
3 A` l Code Enforcement
(Revised 04/24/07)
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
301 96 Street
Miami Shores, FL 33138-
1132060135880
Block: Lot:
JUAN & SUSAN RODRIGUEZ
Owner Information
Parcel Number
Valuation:
Total Sq Feet:
$ 1,00
0
JUAN & SUSAN RODRIGUEZ
301 93 Street
MIAMI SHORES FL 33138 -2717
Contractor(s)
HOME OWNER
Phone
Type of Work: Exterior
Color:
Additional Info:
Classification: Residential
Color: _Approved
Color: _Approved_
Code Comments:
Color. _Denied
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$80.00
$0.80
$66.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # PT -3 -10 -37293
03/15/2010 Credit Card $ 66.60 $ 0.00
Applicant
Inspection Type:
Final
I
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
March 15, 2010
Date
Cell
Available Inspections:
PROVED
Expiration: 09/11/2010
March 15, 2010 1